Background of Different Phenotypes of Coeliac Disease
Study Details
Study Description
Brief Summary
The main purpose of this study is to investigate genetic, serological, immunological and microbiata diversities between different coeliac disease phenotypes and to discover applicable prognostic markers for specific phenotypes.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
The recognition of clinical heterogeneity has expanded the understanding of coeliac disease, but the factors contributing to this diversity remain unclear. Moreover, since coeliac disease is highly heterogeneous, there is a need for more individualized follow-up and support and implementation of more personalized follow-up guidelines.
In this study coeliac disease and dermatitis herpetiformis patients and healthy controls will be recruited. Genetic, clinical, immunological, micobiata and novel biomedical markers are compared between coeliac disease phenotypes and also controls and their prognostic value is assessed.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Coeliac disease patients Adult (18 years or over) patients with previous coeliac disease or dermatitis herpetiformis diagnosis |
Genetic: Genetic predisposition
Assessment of genetic predisposition to various celiac disease phenotypes. No intervention.
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Healthy controls 500 adult (18 years or over) friends or non-related family members of coeliac disease or dermatitis herpetiformis patients participating in the study, no previous coeliac disease or dermatitis herpetiformis diagnosis. In addition 1000 controls will be included from Biobank |
Genetic: Genetic predisposition
Assessment of genetic predisposition to various celiac disease phenotypes. No intervention.
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Outcome Measures
Primary Outcome Measures
- Non-HLA variant association [baseline]
phenotype specific non-HLA variants
Secondary Outcome Measures
- serum transglutaminase antibodies [baseline]
Levels of serum antibodies against transglutaminase
- microbiata [baseline]
skin and intestinal microbiata findings
- quality of life measure [baseline]
PGWB questionnaire (22-items with values 1-6, total score range 22-132, a higher score indicating better quality of life)
- gastrointestinal symptoms [baseline]
GSRS-questionnaire (15 items with values 1-7, total score 1-7 as a mean value of all scores, higher score indicating more severe symptoms)
- dietary adherence [baseline]
strictness of gluten-free diet (GIP-test)
Eligibility Criteria
Criteria
Inclusion Criteria:
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Cohorts 1 and 2: coeliac disease or dermatitis herpetiformis diagnosis
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Cohort 3: friend or non-related family member of coeliac disease or dermatitis herpetiformis patient
Exclusion Criteria:
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Cohorts 1-3: Age <18 years
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Cohorts 1 and 2: coeliac disease or dermatitis herpetiformis diagnosis not confirmed
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Cohort 3: coeliac disease or dermatitis herpetiformis diagnosis
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Tampere University Hospital | Tampere | Finland | 33521 |
Sponsors and Collaborators
- Tampere University Hospital
- Tampere University
- University of Helsinki
- University of Turku
- Oulu University Hospital
- University of Debrecen
- University of Trieste
- Oslo University Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- R22088